Reimbursement for Driver

5000/-
This is to certify that I have paid Rs. ___________ five thousand
(Rupees _______________________________

_________________________only), to Driver, Mr. saravanan

_____________________________for the

APRIL
month of _________________( Acknowledged receipt enclosed). I also declare that the driver is

exclusively utilized for official purpose only.

Please reimburse the above amount. I further declare that what is stated above is correct and true.

Signature __________________________________

Name of Employee LakshmanAN

__________________________________

Date 05/04/2021
__________________________________

Receipt acknowledgement

Date of Receipt :_________________________

05/04/2021

For the Month of APRIL

:_________________________

Name of Driver :_________________________

saravanan
Car No. TN07CS6976
:_________________________

Received a sum of 5000/-

Rs._________________ (Rupees

five thousand
_________________________________________ only) for the month of

APRIL
___________________________ LakshmanAN
from Shri. ___________________________________.